DR. PAUL CHRISTIAN BRUDERER O.D.
NPI 1316956576
Optometrist in West Valley City, UT
About Dr. Paul Christian Bruderer O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL CHRISTIAN BRUDERER O.D. (NPI 1316956576) is an individual optometrist in West Valley City, Utah, licensed in Utah (4942085-9934) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Paul Christian Bruderer O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Paul Bruderer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Valley City, UT 84120
- Reassigned Medicare billing, Utah enrollment
Murray, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 270 clinicians in this Medicare group
Logan, UT 84341
- Reassigned Medicare billing, Utah enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Paul Bruderer's NPI number?
The NPI number for Paul Bruderer is 1316956576. It was assigned to this individual provider in the NPPES registry on August 5, 2006.
Where is Paul Bruderer located?
Paul Bruderer practices at 2782 S 5600 W Ste 101, West Valley City, UT 84120. The listed phone number is (801) 969-9999.
What is Paul Bruderer's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Paul Bruderer enrolled in Medicare?
Yes. Paul Bruderer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Paul Bruderer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Bruderer reassigns Medicare benefits to 3 organizations: Paul C Bruderer O D P C (West Valley City, UT), Tanner Memorial Clinic (Murray, UT) and Aeg Utah Professional Inc (Logan, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Bruderer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Bruderer accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 12 other insurers list Paul Bruderer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Paul Bruderer was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Paul Christian Bruderer, O.D. · NPI 1316956576
Optometrist provider in West Valley City, Utah. Individual provider, active in the CMS NPPES registry since August 5, 2006.
## Identity
- **NPI:** 1316956576 (Entity type: Individual)
- **Enumerated:** August 5, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4942085-9934 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2782 S 5600 W STE 101, West Valley City, UT 84120-5592
- **Phone:** (801) 969-9999 · **Fax:** (801) 746-1007
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Paul C Bruderer O D P C (NPI 1427241843, West Valley City, UT); Tanner Memorial Clinic (NPI 1104356013, Murray, UT); Aeg Utah Professional Inc (NPI 1154212777, Logan, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** International American University At Puerto Rico - School Of Optometry, class of 2001
## Record status
- **NPPES last updated:** July 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1316956576) · Data from the CMS NPPES public registry.